Macklin, Lydia

Macklin, Lydia is an individual health care provider with primary practice located at 855 Anthony Dr , Anthony NM 88021. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Macklin, Lydia can be contacted via phone (575) 882-5706.

Contact Information

Primary practice address
855 Anthony Dr Anthony NM 88021
Phone: (575) 882-5706
Fax: (575) 882-2909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R37028 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP00803 New Mexico

Profile Details

NPI number 1003812553
LBN Legal business name Macklin, Lydia
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 28th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003812553 NPPES
New Mexico Other 343502805 MEDICARE
New Mexico MEDICAID 98827529 MEDICARE

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